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The current pilot study will examine and compare the effectiveness of two group psychotherapies for mixed anxiety disorders: 1. unified cognitive-behavioral protocol, adapted to a group format. 2. combined cognitive-behavioral and dance/movement therapy.
In addition, change in proposed mechanism in each therapy will be examined, along with their association with change in outcome measures during therapy.
The current pilot study will examine and compare the effectiveness of two group psychotherapies for mixed anxiety disorders: 1. unified cognitive-behavioral protocol, adapted to a group format. 2. combined cognitive-behavioral and dance/movement therapy.
24 patients will be randomized to 1 of the two treatment arms and treated with 20 weekly 1.5-2 hours therapy sessions. Independent evaluator and self-reports measures will be collected at intake, pre-treatment, session by session, post-treatment and and follow-up.
Hypotheses:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Unified CBT | Experimental | Group psychotherapy according to the principles of the Cognitive-Behavioral Unified Protocol for Trans-diagnostic Treatment of Emotional Disorders (Barlow et al., 2011). |
|
| Combined CBT-DMT | Experimental | Group psychotherapy combining cognitive-behavioral principles and techniques with dance/movement therapy techniques. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Unified Cognitive-Behavioral Therapy | Behavioral | 20 weekly sessions (1.5-2 hours each), based on the principles of the Unified Protocol for Trans-diagnostic Treatment of Emotional Disorders (Barlow et al., 2011) adapted for a group format. The treatment will include 8 different modules of varying length: motivation enhancement, understanding emotions, identifying and monitoring emotions, emotional awareness training, cognitive appraisal and reappraisal, emotional avoidance, emotion driven behaviors, awareness and tolerance of bodily sensations, relapse prevention. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Hamilton Anxiety Rating Scale | Structured independent evaluator interview for assessing severity of anxiety | Intake (entry to study), Pre-treatment (1 month from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Depression, Anxiety, Stress Scales-21 | Self-report measure of depression, anxiety and stress | Intake (entry to study), Weekly during treatment (weekly between 1-6 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Change in Valued Living Questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Difficulties in Emotion Regulation Scale | Self-report measure of different aspects of emotion regulation difficulties | Intake (entry to study), Weekly during treatment (weekly between 1-6 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Change in Body Sensations Questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Yuval Bloch, M.D. | Shalvata Mental Health Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Shalvata Mental Health Center | Hod HaSharon | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Barlow DH, Farchione TJ, Fairholme CP, Ellard KK, Boisseau CL, Allen LB, Ehrenreich-May J. The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide. New York: Oxford University Press: 2011. |
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|
| Combined Cognitive-Behavioral and Dance/Movement Therapy | Behavioral | 20 weekly sessions (1.5-2 hours each), based on combined cognitive-behavioral techniques (psychoeducation, awareness and tolerance of emotions, interoceptive exposures, in-vivo exposures, cognitive flexibility) and dance/movement techniques. |
|
Self-report measure of valued living |
| Intake (entry to study), Pre-treatment (1 month from intake), Mid-Treatment (3.5 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Change in Mini International Neuropsychiatric Interview | Structured independent evaluator interview for assessing Diagnostic and Statistical Manual of Mental Disorders IV Text Revision (DSM-IV-TR) axis I diagnoses | Intake (entry to study), Pre-treatment (1 month from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
Self-report measure of fear of bodily sensations |
| Intake (entry to study), Pre-treatment (1 month from intake), Mid-Treatment (3.5 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Change in Bodily Awareness of Emotions Subscale of the Emotion Awareness Questionnaire - Revised | Self-report measure of awareness of bodily sensations/movement and their emotional meaning | Intake (entry to study), Pre-treatment (1 month from intake), Mid-Treatment (3.5 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| Change in Working Alliance Inventory - Short and Revised form - Group version | Self-report measure of working alliance in group therapy | Intake (entry to study), Pre-treatment (1 month from intake), Session 5 (2 months from intake), Mid-Treatment (3.5 months from intake), Post-Treatment (6 months from intake), Follow-Up (7 months from intake) |
| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
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